Sciatica

Sciatica is a pain in the leg due to irritation of the sciatic nerve. The pain generally goes from the front of the thigh to the back of the calf, and may also extend upward to the hip and down to the foot. In addition to pain, there may be numbness and difficulty moving or controlling the leg.

Causes of sciatica

Most doctors will tell you that the most common cause of sciatica is a "slipped disc" (a herniated disc in the spine).That has not been my experience. In the clinic, for every one slipped disc I see, there are about 50 people with piriformis syndrome, that is swelling of the piriformis muscle due to trigger points. Because the piriformis and the sciatic nerve both exit the sacrum through the rather small sciatic notch, any swelling of the piriformis will cause the sciatic nerve to be crushed against the bone causing pain.  Other conditions that can cause or aggravate sciatica include roughening and enlarging of the vertebrae,  infections, and tumors.

Treatment

Most cases of sciatica can be effectively treated by physical therapy, most commonly treatment of the piriformis to relieve its swelling, and appropriate changes in environment (for example cushioning, or chair and desk height). Chiropractic manipulation often helps. In approximately 10-20% of cases, surgery is required to correct the problem.

Gary Clark

Sciatica Solutions: Diagnosis, Treatment, and Cure of Spinal and Piriformis Problems Author: Carol Ardman Description A world-renowned clinician's practical and complete guide to understanding and alleviating neurological pain in the lower back, buttocks, and legs.Sciatica is the feeling of pain, numbness, "electric shocks," or strange sensations in the seat and running down the leg...

Fixing You: Back Pain: Self-Treatment for Sciatica, Bulging and Herniated Disks, Stenosis, Degenerative Disks, and other diagnoses. Author: Rick Olderman MSPT Description Back pain is often due to larger problems, such as poor walking habits or pelvic muscle tightness , that create vulnerabilities in the spine. This is why most people have trouble fixing their pain--because these systemic issues feeding it have not been addressed...

8 Steps to a Pain-Free Back: Natural Posture Solutions for Pain in the Back, Neck, Shoulder, Hip, Knee, and Foot Author: Esther Gokhale Description Nearly 90% of American adults suffer from back pain, and the number continues to climb. Why does this condition affect so many people in the industrialized world, while in some countries only 5% of adults report back pain? In a quest to find the root cause of back pain, Esther Gokhale studied at the Aplomb Institute in Paris and traveled to parts of the world where back pain is virtually unknown...

How I Beat Sciatica Author: Mark Barnes Description This is a true story about my struggles with a herniated disc and severe sciatica and how I overcame it. I suffered for over two years and received virtually every treatment imaginable short of spinal surgery...

Relieving Sciatica: Everything You Need to Know about Using Complementary Medicine Author: Larry P. Credit Description Identifying symptoms and offering solutions to a painful condition, this book describes how to use more than 15 effective complementary medicine approaches including acupressure, Alexander technique, Feldenkrais method, foot reflexology, hatha yoga, osteopathy, qigong, and rolfing.

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